| NPI | 1346783537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE WELLS Provider E Nrollment Specialist 337-609-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |